Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $85.49 / $191.19	Professional		$80.62	$85.49	$191.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.37 / $85.20 / $311.35	Professional	26	$65.37	$85.20	$311.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.12 / $20.80 / $61.21	Professional	TC	$20.12	$20.80	$61.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.38 / $87.38 / $87.38	Professional	26	$87.38	$87.38	$87.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $103.95 / $133.63	Professional		$99.00	$103.95	$133.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.60 / $81.28 / $107.11	Professional	26	$54.60	$81.28	$107.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $26.55 / $46.00	Professional	TC	$26.52	$26.55	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $66.23 / $169.18	Professional		$56.22	$66.23	$169.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.18 / $43.12 / $106.96	Professional	26	$36.18	$43.12	$106.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.39 / $25.50 / $62.22	Professional	TC	$12.39	$25.50	$62.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $113.00 / $121.00 / $132.86	Facility	26	$113.00	$121.00	$132.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $94.64 / $153.56	Professional		$28.00	$94.64	$153.56
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $87.11 / $248.16	Professional		$68.31	$87.11	$248.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.50 / $54.57 / $181.90	Professional	26	$49.50	$54.57	$181.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $30.38 / $89.10	Professional	TC	$16.02	$30.38	$89.10